Tendonitis


Symptoms of patellar tendinitis
For the clinical symptoms of patellar tendinitis, the primary manifestation is significant localized pain. In such patients, the pain often worsens considerably under excessive exertion or exposure to cold. In severe cases, it can affect the flexion and extension movements of the patient's knee joint, thus impairing normal function. The treatment methods should include the following points: First, it is necessary to ensure rest and protection, reducing stimulation of the affected area and avoiding exposure to cold. Second, actively apply heat locally, usually with a bag of salt or a hot water bottle. Third, combine treatment with some medications, such as applying topical ointments that invigorate blood circulation and remove blood stasis, taking oral non-steroidal anti-inflammatory and analgesic drugs, and using drugs that invigorate blood circulation and remove blood stasis. Local pain point block injections may also be actively performed. (The use of medications should be under the guidance of a professional doctor.)


What should not be eaten with tendinitis?
Patients with tendinitis should be cautious with their diet, avoiding spicy and stimulating foods such as chili peppers and black pepper, as well as high-fat and high-calorie foods like fatty meats and barbecue. They should also avoid foods with a high sugar content, such as sweets that are rich in sugar. These types of foods are detrimental to overall health. Patients with tendinitis should appropriately supplement their diet with foods that are rich in high-quality protein and vitamins. These include milk, eggs, beans, chicken, fish, fresh vegetables, and fruits, all of which are beneficial for health.


Is tendonitis plaster useful?
The answer is affirmative. For tendinitis, topical ointments that activate blood circulation to dissipate blood stasis, reduce swelling, and alleviate pain can be applied to gradually relieve local swelling and reduce inflammatory responses, thereby promoting the recovery of local soft tissue damage. Additionally, it is recommended to combine this with physical therapy, such as hot compresses and electrotherapy. It is advisable to rest adequately for 2 to 4 weeks, avoiding any further weight-bearing activities. Generally, symptoms can be significantly relieved in about one month. After recovery, it is still important to avoid excessive weight-bearing activities to prevent a recurrence of tendinitis. Furthermore, for persistent tendinitis, local pain point block therapy can also be considered. (Medication should be used under the guidance of a doctor.)


Will tendinitis gradually heal by itself?
The answer is negative. Even minor injuries, if not properly addressed and managed, can gradually develop into more severe and chronic diseases. This later affects normal daily life. Tendonitis, for example, is mostly caused by repetitive stretching, severe tearing, or corresponding work-related strain. Therefore, the first step is rest. Additionally, local applications of topical plasters or physical therapies like thermotherapy, acupuncture, and appropriate spectrum treatments can alleviate localized pain and swelling. However, at least two to four weeks of rest is required. After recovery, it is also necessary to avoid repetitive stretching and excessive physical strain to prevent recurrence.


How to treat extensor tendinitis of the foot?
For the treatment of extensor tendinitis of the foot, it is firstly important to rest and avoid intense activities to prevent exacerbating the symptoms, and also to avoid exposure to cold. When pain occurs, anti-inflammatory and analgesic medications can be used to alleviate inflammation and pain. Additionally, treatments such as hot compresses, foot baths, and physical therapy can be used to promote blood circulation and improve symptoms. Local block treatments can also be effective in relieving inflammation. When conservative treatments are ineffective or motion is restricted due to tissue adhesions, surgical treatment can be considered.


How long does it take for tendonitis to heal?
Tendons are a type of tough connective tissue that connects muscles to bones. When tendons are subjected to repeated excessive stretching, excessive stimulation, or injury, it can lead to localized pathological changes, causing pain, swelling, and dysfunction at the affected site. This may also involve the tendon sheath that envelopes the tendon, leading to a series of aseptic inflammatory responses, thereby causing dysfunction and a range of symptoms in the affected area. Generally, after sufficient rest, avoiding intense activities, and the appropriate use of anti-inflammatory analgesic drugs, recovery can be achieved in about two weeks.


Can tendinitis be treated with acupuncture?
The occurrence of tendinitis is mostly due to local overuse and trauma, which causes local stagnation of qi and blood, and blockage of the meridians. As a result, there may be adhesion and pain in the tendons. Acupuncture is particularly effective in dredging meridians, activating blood circulation, and relieving pain quickly. Therefore, acupuncture can be very effective for tendinitis. We can perform acupuncture treatment by needling the painful area and selecting points along the meridian. Generally, the effects of acupuncture are favorable. If combined with other conservative treatment methods, it can produce significant results.


Can tendinitis heal on its own without treatment?
Tendinitis is a sterile inflammation of the tendon, manifested as localized fatigue damage to the tendon, which may involve tension, spasm, and adhesion of the tendon. Generally, there is some sterile exudation, and there may be some edema and swelling. Generally, patients with tendinitis are advised to rest initially. Some patients with milder conditions may heal on their own after resting, without treatment. However, for more severe cases, recovery may be slow and less effective if they only rest without treatment. In such cases, treatments like acupuncture, moxibustion, electrotherapy, and application of medicated plasters along with immobilization can generally achieve good results.


What should I do about calcific tendinitis?
In cases of calcific tendinitis, which is a relatively severe form of tendinitis, conservative treatment should initially be considered. It is important to reduce repeated external forces on the tendon area, ensure the area is kept warm, and treatments like small needle-knife loosening, orthopedic herbal fumigation soaking, or combined with physical therapy and electric heating can be used to soften the calcified tendon tissue, which can alleviate clinical symptoms. If the condition does not improve after conservative treatment, or if it recurs, surgical intervention may be considered as the next step. This could involve tendon release surgery or sheathectomy. Early joint movement is necessary after the surgery to avoid joint adhesion.


How to treat tendinitis and synovitis?
How to treat tendinitis and synovitis? Generally, the current approach is to first start with conservative treatments for tendinitis and synovitis. Conservative treatments include acupuncture, massage, physical therapy, topical ointments, and oral medications, all of which can help alleviate the symptoms of tendinitis and synovitis. However, if there is no improvement after more than six months of treatment, or if the symptoms, such as increasing pain, worsen, then a minimally invasive surgery might be necessary to provide relief.